WO1995032663A1 - Instrument and method for performing surgery around a viewing space in the interior of the body - Google Patents

Instrument and method for performing surgery around a viewing space in the interior of the body Download PDF

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Publication number
WO1995032663A1
WO1995032663A1 PCT/US1995/006699 US9506699W WO9532663A1 WO 1995032663 A1 WO1995032663 A1 WO 1995032663A1 US 9506699 W US9506699 W US 9506699W WO 9532663 A1 WO9532663 A1 WO 9532663A1
Authority
WO
WIPO (PCT)
Prior art keywords
guide member
region
balloon
instrument
interior
Prior art date
Application number
PCT/US1995/006699
Other languages
English (en)
French (fr)
Inventor
Maciej J. Kieturakis
Original Assignee
Kieturakis Maciej J
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kieturakis Maciej J filed Critical Kieturakis Maciej J
Publication of WO1995032663A1 publication Critical patent/WO1995032663A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1002—Balloon catheters characterised by balloon shape
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00008—Vein tendon strippers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3403—Needle locating or guiding means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320044—Blunt dissectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre

Definitions

  • FIG. 14 is an isometric view of a portion of the guide of FIG. 13 taken along line 14-14 of FIG. 13.
  • the proximal end 11 of guide member 10 is coupled to handle 60.
  • the proximal end 62 of plastic handle 60 is configured with a compression seal to secure endoscope 22 in guide member 10.
  • compressible washer 64 made of rubber or other suitable material is disposed in annular groove 65 in the proximal end 66 of scope lumen 14.
  • Longitudinal slots 67 in handle 60 allow sleeve portions 68 to be displaced inwardly toward axis 55 to compress washer 64 against scope housing 25 when sliding plastic collar 69 is moved in the proximal direction.
  • Indicator 70 is aligned with mark 72 on scope housing 25 to maintain the assembly in angular registration.
  • the balloon wall surrounding lumen 124 is similarly made of plastic sheet material to form inner wall or sleeve 128 with balloon proximal and distal ends, 129 and 131, heat sealed to enclose inflation chamber 122.
  • the outer diameter of balloon 120 for spinal nerve division is approximately one and one-half inches but it should be appreciated that balloon 120 could be any suitable diameter or shape having a cylindrical shaped lumen for other procedures and be with in the scope of the present invention.
  • Metal band 132 is press fitted over balloon 120 onto guide member 10 along with adhesives to make balloon chamber 122 fluid-tight.
  • FIGS. 9-10 depict flexible trocar 160 having flexible shaft 162 with a diameter that slidably cooperates with the bore diameter of working channel 34.
  • the tip member 165 is made of a suitable material such as stainless steel and has three faces 167 with sharp edges 169 and sharp tip 170.
  • the distal end 171 of flexible shaft 162 may be formed in a curve (see FIG. 9) in its repose position or it may be straight (see FIG. 10) .
  • Tip member 170 is fixed to shaft 162 with adhesives.
  • the proximal end 172 of shaft 162 is coupled to handle 175.
  • the surgeon inserts the distal tip 59 of guide member 10 into incision 180 and inwardly along the spinous process 181 and underneath overlying muscle 185 (FIG. 11F) .
  • the surgeon advances blunt tip 59 more or less upwardly in the channel between the spinous process 181 and the transverse process 183 to a location about 2 to 4 vertebrae above the fifth thoracic vertebrae (see FIG. 11B) . While thus advancing guide member 10, the surgeon views the progress of tip 59 through endoscope 22.
PCT/US1995/006699 1994-06-01 1995-05-31 Instrument and method for performing surgery around a viewing space in the interior of the body WO1995032663A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US255,273 1994-06-01
US08/255,273 US5569183A (en) 1994-06-01 1994-06-01 Method for performing surgery around a viewing space in the interior of the body

Publications (1)

Publication Number Publication Date
WO1995032663A1 true WO1995032663A1 (en) 1995-12-07

Family

ID=22967596

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1995/006699 WO1995032663A1 (en) 1994-06-01 1995-05-31 Instrument and method for performing surgery around a viewing space in the interior of the body

Country Status (2)

Country Link
US (3) US5569183A (de)
WO (1) WO1995032663A1 (de)

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US5762604A (en) 1998-06-09
US5667479A (en) 1997-09-16

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